Medication errors that cause harm are called preventable adverse drug events. For example, 40-year-old female was brought into the emergency room for shortness of breath and rash following an ingestion of seafood. On presentation, she was found to have edema of the throat with a mild stridor upon inspiration. Her temperature was 98.7 °F axillary with a blood pressure of 100/69 mm Hg and a pulse of 70 bpm. The patient was placed on supplemental oxygen and a 0.5 mg (1:1000) dose of epinephrine was ordered.
Fact 7 Obstetric fistula still exists because health care systems fail to provide accessible, quality maternal health care, including family planning, skilled care at birth, basic and comprehensive emergency obstetric care, and affordable treatment of fistula. Fact 8 In 2008 over 2000 health professionals were trained in preventing and managing obstetric fistula. Fact 9 Patients with uncomplicated fistulae can undergo a simple surgery to repair the hole in their bladder or rectum. The treatment cures up to 90% of obstetric fistula patients. However, since 2003 only 12 000 women in over 45 countries have received obstetric fistula treatment in Africa, Asia and the Middle East.
CASE STUDY Assignment: Pain Management Mrs. Chang is an 80-year-old Asian female with terminal small-cell carcinoma of the right lung with brain metastases. The patient is on your palliative care unit and frequently reports intense breakthrough pain. Data Obtained From Nursing Assessment • Vital signs: afebrile; pulse, 92; blood pressure, 112/86; respiration, 28 • Dyspneic • Weight: 96 pounds • Height: 5 feet, 2 inches • Lung sounds: bilateral rales and gurgling; improved after nebulization therapy • Confused, restless, and agitated • Bowel sounds diminished in all four quadrants • Last bowel movement 2 days ago • Speaks few words in English; family members at the bedside can translate • Points to “4” pain rating on FACES pain scale • Has used 6 rescue doses for pain in last 24 hours Lab Data • CBC shows anemia: Hb 9 • Pulse oximetry: 92% on 02 2L/NC Current Drug Therapy • Fentanyl 75 transdermal patch, change q72h • Morphine, 1–3 mg IM qh prn for breakthrough pain • Amitriptyline, 150 mg PO bid • Albuterol solution for inhalation, 2.5 mg, diluted to 3 mL with normal saline via nebulizer, three to four times daily Case Study Questions: 1. How do these drugs work together to address Mrs. Chang’s underlying pathologic conditions? (10 pts.)
The 34 year old also had back pain, most likely lower back pain where the kidneys are located. One of the most significant conditions that were found from examination is her urinalysis; in her urine the medical staff has revealed numerous bacteria and leukocytes which are virtually always found in patients who have Pyelonephritis. 2. Hypoxia presents many different etiologies, but there are two general categories: disease that affect perfusion of the lungs (pneumothorax embolus) and disease of the bronchial tree, (pneumothorax, pulmonary edema, etc.) How was the diagnosis of ARDS made?
She admitted that she still smokes ‘occasionally’ (although she is trying to give up), and drinks alcohol ‘rather more than she should’, varying between 20-28 units a week. The GP refers her to the heart and chest clinic at the local hospital for further tests. Here she is fitted with a 24-hour ECG Holter monitor and asked to go jogging while wearing it. The monitor gives a definite diagnosis, and Laura is sent home with medication that seems to resolve the problem. However, she is warned that if the dizziness recurs, more active intervention may be necessary in the future.
She tries to get words out of her mouth until she finally whispers to the nurse “you should check my hands, there are no bones in it.” The nurses unstrap her hands from the bed and check them, they look at each other in disbelief. Susanna’s hands are in perfect condition. Susannas file claims that she had drunken about fifty aspirins and mixed it with a bottle of vodka in a suicide attempt. Still in the ambulance Susanna closes her eyes for a brief moment and opens them finding
Picoult continues on this theme of “saving” by using Suzanne as Sara’s crutch, as she makes her coffee each morning and informs her of any missed phone calls. While in the hospital, Sara receives a call from Jesse’s principal informing her of Jesse’s suspension. On the car ride home she notices a bruise on his arm from a needle and assumes he has been using drugs. Jesse angrily explains how he has been donating blood that gave Kate platelets behind the family’s back, in order to “save” his sister. After two weeks in the hospital, Kate developed an infection that placed her in a coma on a respirator, which is “saving” her for the time being.
She was informed of an induction to deliver her baby as the standard operation procedure. The induction though risky to be done before week 39, was still necessary since the baby was not growing normally. However, the osmium did not dilate wide as expected and she did not feel much labor pain for a successful natural delivery. Later, at around 5pm of the same day, she managed to have a dilation of only 3cm and her membrane ruptured, and her amniotic fluid lost for 6 hours. When the fetal heart rate decreased (Bradycardia), fetal distress was noted, and an emergency caesarean was initiated.
For women there are other causes like vaginal atrophy due to postmenopausal depletion of estrogen and not completely emptying the bladder providing the opportunity for bacteria growth and colonization. Because older women are more affected by UTIs than older men, we will carry out an assessment of Mrs. Ann Mary. Ann is an older widow aged 70 years old admitted in hospital for other different disease other than a UTI. During her stay in hospital, she has been complaining of having the
Mack Ervin, Jr. Prof. Marcia McCormick Biopsychology Tues 7-10pm 11/30/11 Patient Assessment A 39 year old female patient presented in the doctor’s office with the following symptoms: Headaches, insomnia, rapid thoughts, dizziness, and a lack of motivation. The patient initially said her symptoms began approximately 2 months ago and have been fairly persistent. While she is in some discomfort, she does not appear to be in immediate danger: All of the patients’ vital signs were within normal range. In an attempt to make a preliminary diagnosis I began to ask questions about her condition. I wanted to address each of her symptoms and try to find causation.